Individual provider · Type 1 NPI

Kathryn Graham, AOD COUNSELOR

Addiction (Substance Use Disorder) Counselor · Lakeport, CA

NPI number 1295186922 Active

Practice location

160 S Main St
Lakeport, CA 95453-5017

Call (707) 275-9905 Map

Mailing address

PO Box 2077
Ukiah, CA 95482-2077

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7112 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1295186922

Kathryn Graham, AOD COUNSELOR's National Provider Identifier is 1295186922, issued on Jun 23, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakeport, CA. The record was last updated on Jan 22, 2020.